NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?
Correct Answer: C
Rationale: Following familiar bedtime rituals helps preschoolers feel secure and promotes sleep. The other options may increase anxiety or overstimulation, hindering sleep. Basic Care and Comfort
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 2 of 5
The nurse appropriately removes obstruction in the chest tube by which of the following?
Correct Answer: B
Rationale: Milking gently dislodges clots without causing excessive negative pressure.
Extract:
Question 3 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Question 4 of 5
What significant event occurs in the orientation phase of a nurse-client relationship?
Correct Answer: B
Rationale: Identifying transference phenomena, where clients project feelings onto the nurse, is key in the orientation phase to establish a therapeutic relationship. The other events are less specific to this phase. Psychosocial Integrity
Question 5 of 5
A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, 'Will they allow me to sit up during the MRI?' The correct response by the nurse should be.
Correct Answer: D
Rationale: The MRI will require supine positioning.